Individual provider Active NPI

Antonio Thomas Mendez, D.C.

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1154397347
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4808 Issued in KY
Practice address
207 E Reynolds Rd
Suite 160
Lexington, KY 40517-1276
Phone
(859) 273-4455
Fax
(859) 272-9134
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4808 KY Primary

Addresses

Primary practice location

207 E Reynolds Rd
Suite 160
Lexington, KY 40517-1276

Mailing address

207 E Reynolds Rd
Suite 160
Lexington, KY 40517-1276
Phone (859) 273-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1154397347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E REYNOLDS RD",
            "address_2": "SUITE 160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171276",
            "telephone_number": "859-273-4455",
            "fax_number": "859-272-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E REYNOLDS RD",
            "address_2": "SUITE 160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171276",
            "telephone_number": "859-273-4455",
            "fax_number": "859-272-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "ANTONIO",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.